The American Psychiatric Association is currently working on releasing the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders. This book is created by panels of psychiatrists and will have many different effects on not only the medical field, but the patients as well. This edition will have consequences for insurance reimbursement, research, and ultimately determines what is considered a mental disorder.
In this particular edition there are many controversial issues arising. Is compulsive shopping really considered a disorder that can be treated? Do children that suffer from sensory problems just need extra attention? What exactly is gender identity crisis? Is binge eating a disorder? There are so many problems that are weighed in on and their book will ultimately decide the fate of the particular ailment.
I think it’s so awful that this book is playing such a crucial role on the world of psychiatry. I understand the purpose of having disorders defined, but it also determines how the world perceives each disorder. If their research is outdated or too controversial, it can have a horrible effect on the world. This book has also faced a lot of criticism over its time. It originally defined homosexuality as a disease that needed to be treated. In the 1970’s it was removed, but it still had a lasting effect on how the world views homosexuality.
This is something that I think we really need to stop. Not only does it have an effect on how the world views each disorder, it also views how the insurance companies do. One example is with those that consider themselves transgender. Because this book defines it as a disorder, many insurance companies will cover the costs of surgeries and procedures to help them. If the disorder is revoked from the book, it will cause the number of insurance companies that cover surgeries to go down to almost none. If a particular disease is listed but not really true, it could cost the insurance companies millions. If they don’t list it, it could cause devastation to those suffering.
Psychiatry is a field that is always very delicate. The patients involved are not only physically sick, but are in a different state of mind. Unlike a physical disease though, there could be many ways for different disorders to be perceived. If a book such as this is created, we need to be certain that we are including everything with ultimate approval from everyone.

